title: From first phone call to last visit.
authors.forename: Marty
authors.initials: M
authors.lastname: Stempniak
mesh_terms: D003266:Continuity of Patient Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D017050:Episode of Care; D018574:Home Care Agencies / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007373:Interinstitutional Relations; D019982:Organizational Case Studies; D010351:Patient Discharge / Q000592:standards*; D058991:Patient Protection and Affordable Care Act / Q000191:economics; D010359:Patient Readmission / Q000191:economics* / Q000592:standards; D012866:Skilled Nursing Facilities / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D014481:United States